go back

Louisiana rates for HCPCS J1110

Injection, dihydroergotamine mesylate, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $99.99 / $214.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.60 / $117.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.44 / $34.34 / $141.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.33 / $94.33 / $96.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.61 / $56.61 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $100.83